EK 10 Electrocardiograph as Pan his OSBIDR pedal 7.09 OR re ae eT TO | ee a es es | |INTRODUCTION - GENERAL DESCRIPTION Whe EKLO is a single channel cleclrocardiograph with tvo medes of operation; antomalic or manual mode. A battery powered feature optional. To ensure maximum patient safely, all ECG leads to the pation: ore elecinically isolated from boih the chassis and the power mpmt The instrument meets or exceeds the frequency respomse recommendations of the Assoviation for the Advancement of Medical inslrumentation {AAM) for diugnostic electrocardiographs. T also complies with accepted specifications for patient and operater satay When sensors are properly attached to the patient's arms, legs and chest, the EK10 will antomatically connect them to the istrament's amplifier m the correct combination and polarity to orowde recordings of the standard 19 leads. As cach lead segment is printed it 1g idemiified appropriately on the paper trace. Provision is aise made to record the ECG manually by activating the appropriatc Toad select button. : In the automatic mode the KIO will automatically sequence Usromsh the 12 leads in the pre-set format. - 1 channel or 9 channel - amd stop ‘when complete. For manual operation the operator selects dhe desired lead group and observes this lead continuously on the grater until 2 new lead fs selected or the acquisition is halted by pressine STOP, ACCESSORIES Standard Accessories Qty, PartNumber —_Desesiption 1 gR6063 ‘Operator's Manual 1 907035 ECG Patient Cable (10 lead) 1 oa7KE4 Disposable Sensor Starter Kit (100 sensors and 10 clips) 1 oo Roll Recording Paper - 150ft. (black grid - black trace} 1 047262 AC Power Cord 1 007036 Sample Pack of Pressure Sensitive ECG Mounts (100 of P/N GO7037) WVHwHWWw vw vw ve Wo a a ob a ld 0d a oP) fb le oka ee oea to. \< > Paxt Number 7007174 #007175 007037 007039 007176 007357 862278 007364 QU7157 007158 007853 OU7886 807038 Tig. |-2, Burdick offers many useful accessories for the EK10 ‘Optional Accessories - Supplies Description Input Cable, 1V to Imv Output Cable, 1V Single Sheet Pressure Sensitive ECG Mounts (100 per box) Soft Shell Carrying Case Shoulder Strap for Case Chemical-Thermal ECG Lecording Paper 150 ft. roll (orange grid - black trace) Battery Pack Welsh Bulbs (6) Limb Plates (4) Limb Straps Lectro-pads (50) wl-cor (6-07) Lead Patient Cable * See page 28 for application Contact your Burdick dealer for information on these and other useful accessories.Fig. 2-1, Back Panel of EKLO showing cord receptacle and ON-OFF switch (Note: 1 = ON, O = OFF), Your WI10 ts supplied with a 3-conductor power cable. Connect the cable ss the power jack on the back panel of the EK10 and to a properly maintained and grounded electrical wall outlet to automatically ground the unt CAUTION: The unit must only be operated ai the vollage and Sequence specified. USE OF RULTIPLE ELECTRICAL APPARATUS: Tl Une EK4O is to be comnerted to 9 patient who also has other electristly operated devices attached to or clase in the body, care must Be Eakes = ensure a safe paticnt covironment This is parlicularly important ies: using cardiac catheters. ‘The ECG leads are clectrically isolated from ground to ensure patient sai However it is imporiant io ensure that any other equipment m= de immediate vicinity is properly grounded - unless it is double Insulated - == operated strictly aceording to manuiacturer's insituctions. All eq==p=eme and varing should be visually inspected for safely on a regular Dasts. GROUNDING * Maximum pationt and operator safety is ensured when the EXIO Is peepee grounded. This is normally achieved automalically when the S comdecter power cable is cannected ag described above under "Power Conneetics” Se auxiliary ground lead ts also provided. This may he used lo commere = bedframe or a metal table to thc grounding jack, This is an eSeeste= procedure whenever objectional AC interference is traced to dis scares © On ngSMES See a a a rT A MN ean also be used to ground the E10 in the event of inadequate grounding through the normal electrical supply outl¢l. In this case make sure the spring clip Is connected to muke 3 positive connection lo a well-grounded object, such as a cold wuter pipe. “The ground wire phig is designed to aecept an additional ground wire should multiple grounding be required ECG PAPER The chemistry and thermal characterislics of Thurdick's ECG paper matches the specification tolerances of the EK10's Thermal Array Print Head. These characteristics ensure the optimum trace quality: not only during AC operation, but more Lmportantly, under the lower power levels of DC operalion. The use of non-approved suppiles may invalidate your warranty. Recommended ECG Papers: Burdick Part Number Grid - Trace Color 007957 Chemical-Thermal, Orange-Black 007958 Chemical-Thernal, Black-lacis NOTE: The Thermal Acray Print Head employed in the BK10 is pre-adfusted at the faetory for optimnm trace perlormance. There 1s no provision for operator adfustment. CONTROLS - LOCATION & FUNCTION Fig. 2-2, Control Panel with LOD Display [Main Menu)‘All the normally used oparating controls are integrated min a single “soft-toueh” control panel. Tius feature is combined with advanced solid slate circuitry to provide outstanding dependability. The onc piece construction cHlectively keeps the contral contacis dust free, An LCD (Liquid Crystal Display) located directly above the contral Panel provides a Continuous ‘visual Mmdication of the eperating parameters selected for any spocific ECG recording. NOTE: Use a firm and consistent (uch when pressing the control keys. NEVER use a pen or pencil lo activate the key pads, otherwise the panel overlay may-be iereparably damaged. A short "beep" indicates your input is aerepted and the display vill change accord Along ‘beep’. however, means the input is NOT aceepted: usual ase 8 wrong key is presed. INDIVIDUAL CONTROL FUNCTIONS: ‘This section describes briefly the purpose and function of cach key on the control pani = ON-OFF Preasing this button will apply power to or metcumcnt. Pressing it again will ONfetandby off. The use of solid state cireuitry throughout virtually eliminates AUTO. Selects Automatic ECG Mode of MANUAL Selects Manual Mode of Inv Calibration test signal. input pulse. srop Permits operator to halt ECC at any point in manual o ECO LEAD On the E10 these twelve MANUAL same function us the SELECTORS — crnpluyed on earlier models ‘They are marked in the Il, AVR, aVL, aVF, V1, V2, and are priniarily used eo BCG leads while operating WoO ae OW A BS ee yPHnnoahkayNUMERIC ‘The same array of buttons used for lead VALUL selection also has a second numeric valuv INPUTS indication at the top left hand camer of each butlun. Thesc ure in sequence 1 thro 9 and 0; used for ontering the patient 1D sumber on the LCD display. ‘his Information is then annotated on any subsequent ECG recordings. MP, ‘Used to select main amen "M" or previously selected menu "P* for review un the LCD (Liquid Crystal Display), Lop Four unmarked butions are localed dircetly SOFT KEYS below the LCD. These relate to the adjacent faction of whatever menu Is being presented in the LCD display (see Fig, 2-8) and may be used to select or modify the appropriate Function. “NOTE: On later models the ON-OFF key Is designated as ON/standby a) Main Mena b) ID Menu YOO AAA AY AME Menu, @) WRT Menu Fig, 2-3, Primary LCD DisplaysSECTIONS OPERATING MODES ‘The EK10 provides for tro modes of operation; Automatic and Manual Instructions for preparation and operation in boll modes are given. SUGGESTIONS FOR FIRST TEME OPERATION NOTE: II your instrament is equipped with the optional hattery pack. you must first fully charge the battcries before attempting to use the EKO on ballery power alonc (DC operation). You can, however, operate it at any time.in the AC power mode, even with baltcrics discharged. structions for initial set up and charging balterics are on pages 17 und 16 of this publication, Before using your new EK10 on a patient, it 1s advisable to first operate the unit and familiarize yourself with the controls and sequence of operation, This will also afford an opportunity to check the EK10 for proper operation. During this dry run, the patient eable will not be connecied, so you will not get any valid ECC recording, only a random trace. The lead code markings and any ID code sclected by the operator will be revorded on the paper. The presence and proper appearance of these markings generally indicates correct fanelioning of the instrument and valid ECG traces will be recorded when the palient cable and appropriate scnsors are subsequently connected to a patient, Pay particular attention to the pre-set parameters and how to set them roperly (see Pre-set Parameters Description and {Input Instructions). he sequences indicated ean be practiced in cither the AC or DC {battery power) mode of operation. Then you are ready to try a dre run. Go through the procedure in both AUTO and MANUAL modes. PAPER LOADING Loading your EK10 ts a simple three-step operation. NOTE: Check that the ECG paper is the correct type for use in your EE1O to ensure optimum: trace quality. 1. Remove the top cover from the paper compartment by placing a finger In the slot provided and lifting gently, if nceessary, remove the empty spool VW Pe HW Vv WP VW WW HV PVN NN VNR Wd a hel oeHAN (iy (totter tao tottetiot4 " At ut tpt ut Yh WOW TEA AN ANON tf 2. Grusp the free end of the paper and insert the roll into the paper holder as shown in Fig, 3-1 3. While holding the end of the paper. replace the cover and snap into position. a) Cover and Feed Roll Removed b) Inserting New Roll Fig, 5-1, Loading BCG Paper ROUTINE OPERATING PROCEDURE THE PATIENT ENVIRONMENT With the EK10's exiveme sensitivity, (ac minute vollaves of ihe heart can be recorded precisely. providing accurate information an which ta base the diagnosis. NOTE: Since the clectrocardiograph picks up the minute voltayes readily, [he same unit will also tend to register any artifacts that may be preseni, such as muscle tremors and 4C. These artifacts, if present, can usually be eliminated or minimized by carefully reading and following the instructions given In this manual. LOCATION Locate the Blectrocardiograph and the patient as far removed as possible from cxlraneous equipment cords, building elecirieal wirmg, and any other likely souree of electrical interfercime. 10LEAD ARRANGEMENT AND CODING STANDARD LIMB LEADS ‘SENSORS vex] cometes | coor coon Teer] envi] taandma | me” nee tep2| tama RE LEADS Le and La | fA WHE cake AUGMENTED LIMB LEADS SENSORS Lean | CONNECTED ‘CODE COLOR al oor _| avn | RA and (ALL) fs] oncen avl | ta ans (RAL) uw RED ove | thang (RALA) BA | ware tx | auack CHEST LEADS f ‘SENSORE Leap | CONNECTED (CODE COLOR, 1 aony[insemr | Vyandtaracy wv, [BROWN | RED Yi, | Yoand (LARALL) ,! BROWN | YELLOW % Veand (WRAL) v,! BROWN | GREEN Yo Voand WARALL) ve BROWN | BLUE Ye Yeand WARALL) |v, BROWN | ORANGE vy Vand MARALL) vy BaOWN | VIOLET Fig. 3-2 1, Fourth intercostal space ot Fah arg o semen “%, Pouthntercastalspace att snargin of stern 1, Midmay between ection ond Y, AM hoeontal evel of pozison 4 al lott mideailary Boe Vet MU VW PHVA HNNPveaeVeWPPRA PR Ya aa eDY NM ANNA NM AM MY NY A UN AND De fA fe Mp tele eter tte tepid A) PATIENT PREPARATION A high quality ECG ts more readily obtained from a patient who is relaxed both mentally and physieally. Assure your palient that there is no danger or pain involved in the procedure, Explain that his/her fuil cooperation will assist in the production of a valuable diagnostic record. Make your patient comfortable on a cot, small bed, or a well-padded table lerge cnough to support hoth arms and legs and allow for complete relaxaiien. Support the patient's head with a pillow. Avold discomfort by protecting the patient from cold, drafts and any other disuusbing factors. SENSORS: ‘The disposable sensors included in the accessory package that came with your EX10 Llectrocardiograph are designed to be used with this instrument, Never mix sensors with those of another manufacuurer or mix reuseable and disposable sensors. This can result m considerable baseline drifting or blocking. Reuscabic Sensors (Welsh Bulbs - Limb Plates) Fig. 3-3, Reusable Type Sensors For dependable performance, sensors must be kepl elean. Thi should be washed after each use and scoured frequently with a non: abrasive kitchen: cleanser. Never usc a mictallic pad to clean the electrodes. Exeessive corrosion or accumulation of sensur paste causes drifting or blocking and impairs the quality of the Replace corroded sensors.Electrolyte (for reusable sensors only - sve also Fig. 2-5) Burdick strongly recommends the use of Liqui-Cor and Lectro-Pads as eleclrolytcs. Both provide exeeilent conductivity between skin and sensor; both are hypoallergenic, non- abrasive and water soluble for quick and casy clean up, Ligqui-Cor applies easily from a conventent Mip-spout squ: Its welling action effectively penetrates skin oits, ze bottle. Lectra-Pads are thin pads. slightly larger than the limb sensors. Thoroughly impregnated with a non-irritaling electrolyte. Lectro Pads stay moist for a long thme, do not sell clothing, and save preparation and clean up lime. Leetro-Pads come in convenient 5-pad packages. When using four limb plates and Welsh bulb sensors, the fill pad can ‘be used to “prep” the V lead arca of the patient, Wipe the sensors clean after cach use. Preferably they should he washed after each use and scoured frequently with a good Kitchen cleanser. Observance of this practice avoids the risk of baseline driffing caused by corrosion or excessive accumulation of electrolyie. Disposable Senzors Fig, 3-4, Disposable Sensors Burdick's disposable Sensors are time-saving problem solvers. They are an affordable, efficient alternative in bulbs, plates, straps. creams and gels. These disposable sensors utilize a highly conductive naniral adhesive and offer a cost-effective medium for quick, stable and reltable ECG signals. Wo PPR A a A AP OR TO A ab ae ova aCHEST SENSOR APPLICATION Welsh Bulb Sexcore suiece! Connect the six self-retaining sensors to the appropriate V1 through V- 6 leads on the patient cable. Locale the position of ihe six leads on the patient's chest; reflec to Fig.2-2, Lead Arrangement & Coding. Apply a smell amount of Liqui-Cer electrolyte, using the same quantity at each scusor. A tongue depressor is ideal to spread the eleclrolyte evenly on the skin at cach site. Apply the sensors. ‘The rubber bulb is squeezed and the sensor applied firmly. Only a small dimple should remain in the bulb when reicased. Check that the leads conform to bedy contours and that there is ny strain imposed on any of the sensors. Excess lead wire should lie flat on the patient, not coiled, For very hairy patlents, any one of the following three sful techniques may be employed to ensure good contact and adhesion of the electrodes. a) Spread the hair between thumb and forefinger; apply the sensor to Lc expased skin. b) Use a water dampened towelette to moisten the skin area to cnliunce the adhesive tack prior te applying the sensor. ©) ii methods a) and b) da not work, shaving may he necessary. In any ease the sensor may he reapplied lo dhe shaved ar-a without signiieant logs of tack, DISPOSABLE SENSORS - APPLICATION ls 4Remove individual scnsors from the package Umer card and pesition on the patient, First apply the limb position sensors. Preferably locating them on the ineide and gencrully haitless areas of the arms and legs. Wii PRYV PPP PVP APPAR RoD Pa aAT TED ak tt tt a Tt Yt Vt st tnt rd tet Xeon nt Nn anf Hig. 3-6. Disposable Sensor Applied to Limb NOTE: For very hairy patients, any one may be employed to ensure good cont electrodes of the following techniques act and adhesion of the al Spread the hair between thumb and forefinger; apply the Sensor ta the exposed slein, b) Use a water dampened (owelette to moisten the skin urea Lo enhance the adhesive tack prior to applying the sensor, © f mecthocls «) and bi do not work, shaving may be mecossary, In any case the sensor may be reapplied to Ike shaved arcs without signilicant loss of tack. Next apply the sensors to the chest area (V-1 through V6 positions) - refer to Fig, 2-2. 4. Attach alligator adupter clips to the apex of each sensor. At this ime perlorm any other preparatory tasks to allow the Patient a short dine to relax and ulso te give the recorder-sensor System time to stabilize 6 When the ECG record is completed, simply remove and discard ihe sensors, ‘There is no clean up, SETTING-UP EQUIPMENT Your Burdick EEO will perform Une stated operations tm this mumual in either AC ov DC mode (battery operation), 16AC Operation The following sequenve pf steps is requized for AC operation a) Conneet AC cord to EKIO. b] Plug AC cord into suitable grounded onitlet CAUTION: The unit must only be operated on the voltage and frequency specified. ©) Sct main power switch on rear of EK10 Lo ON position. IMPORTANT: Ensure niain switch on the back of the unit is ON for AC operation (1 position depressed). If it 15 set inadvertently tn the OFF position you will be operating on battery power only; prolonged usage in this made will drain the batteries. ¢) Press ON-OFF (standby) keypad on main c1 nivel panel 10 ON, ¢} BK10 will now display MAIN menu and Is ready for operation. DE (battery) Operation - with optional battery pacie NGTE: Since the battery is shipped in an uncharged state, for first time operation the baltery must be charged (sco "Charging Batteries" on the following page) before attempling to operate the Elite on battery power. ‘The following sequence of steps is required for DC operation: @) Set main power switch on rear of EK10 to OFF (QO) position. b) The instrument will now power up on DC (battery pawer) when ON-OFF(standby) keypad Is pressed to ON. ¢) Ii battery power Is sullicent for sustained operation, the EK10 will display MAIN menu and is ready Lo be used. d) The 1610 wall display "Lis" (Low Battery) on the MAIN menu if ballery charge level 13 insufficicnt to allow at. least 13 minutes of continuous operation. NOTE: Should the ON-OFF (standby) keypad remain ON with no further input froma the operator, buili-in circuitry will automalically switch the EK19 to the OFF (standby] condition afler a perlod of 15 minutes. This festure prevents excessive battery drain in the event of a delay in acqering KCGs. ehh GA URUR UA LN UD VASA ULE ADA dd en dd doaARETE Me oop ep te ed tetatfirt ti ao Charging Batteries MB, 3-7, Main Switch must be ON {I depressed) to recharge batlery. The £K10 is in a permanent charge mode whenever it is: plugged in to Zenitable wall outct with the main switch In the ON position (aurmat AC operating. condition). The instrument is equipped with a nickel fadmtum rechargeable battery und control ctrcultry which prevents “over charge" slinations. When fully charged the batteries have sufficient power to permit up to gre (1) hour of continuous full-power operation Ineluding printing, or approximately SQ ECG recordings in AUTO mode under normal conditions. Typically. the EHiO will require about 15 hours to fully recharge. However, it can still be used in AC mode, without affecting the recharge time. To ensure maximum batiery life, the batteries should be atewed to qe discharge) occasionally, until the LB (Low Battery) warning Is displayed. If not subject to heavy battery use, ones every six monte ie sullicient. Do not at {empr to discharge the baltery completely: this could result in irreversible dama, ye and may invalidate the warranty. Never remove the battery and attempt to recharge it by means of a conventional battery charger. ESTABLISHING OPERATING PARAMETERS ‘The following ally do mot change an a patient-to-paliont or day-to-day basis. Consequently, (hey may copventently be pre-sot inte your EK-10 by using the jour soit Acys adjacent Lo the LCD display.” They will (hen be apphed to every ECG taken subsequently until the parameters are modified by the operator operaling parameters typie:PRE-SET PARAMETERS (Desenption and Input Instructions) Limb Lead Gaity Controls the amplitude of the ECG recording from the Limb Leads only, Limb Setting Options: L=sH A imv paviont input will be displayed as 0.5 om. deflection on the recording. a gain of 1/2. L=xl A 1mV patent input will be displayed as a 1.0 em. deflcetion on the recording. a gai of 1. L= x2 A ImvV patient input will be displayed us a 2.0 am. deflection on the recording, a gain of 2 Chest Lead Guirz Controls the amplitude of the ECO recording from the chest leads only. ‘Chest Lead Options: C=xH A mY patient imput will be displayed as 0.5 cm, deficction on the recording, a gain of 1/2. C=z1 A Im patient input will be displayed as a 1.0 em. deflection on the recording, a gain of 1. Fitter: The EK10 offers the option of generaiing ECG recordings through either @ filtered or unfiltered frequoncy response. Filtered mode has 30Mz, 3dB response: unfiltered mode meets or execeds AAMI Standard for Diagnostic Flectrocardiographic Devices (unfiltered) Writer Speed: : This controls the sate al which the paper passes across the print head Available spceds are 25 or 60 mm. per second. Writer Format: The EK1O can record the BOG tn cither a L-chamnel or a simulated 3- channel formst. Th either case all leads are clearly identified above cach individual Iead (race. Special pressure-sensilive mounts, Burdick part number 007037, are available for usc with the 3-channe! format{ooo out Met ttt Qt Nat Not Yt rt st ff CR Lead Sequencing per Format: V Channel; 1, TL, I, a¥K. ave, . V1, V2. V3. V4, ¥5, VG. 3 Channel: l, a¥R, V1, V4... Tl, aVL, V2, V5. ,..IIL ave, V3, V6, Note: Hach individual Icad recording normally represemts 2.5 scconds of cardiac actlvily in the automatic mode. YNFUT INSTRUCTIONS; / 8226 Lax! O2k1 PEON] [aoe - (1D ANP oWaT LB ENTR Las UUOU DOUUU a) MAIN menu D) 1D menu Fig, 3-8, LCD Displays The following sequence Icads the operator through the function of cach control key. The effect of pressing each Key Gri the LCD display above the coatral panel and/or the EKIO's memory Is slaled I ihe second nolumn. Control Key Display and Effect Sequence on | Main power is on. Main menu displayed 1 Ww, AMP. wrt. - } 1 iD | Press solt key under 1D on display. 1D menu 1 will now be displayed. Enter the 1 patient 1D #, up to 12 charscters, by | pressing appropriate number keys and | i \ i 1 cursor keys (below arrows) to inser spaces or move numerals, Press key under ENUR to enter ID # into memory. Display will return ta MAIN menu. (DAMP, WRI} AMP | Pvess AMP: Amplifier menu new shown 20GAIN FLTR RIN AMP L=XH CsXd OFF ig, 3-9, Amplificr (AMP) Menu Display L Key Change Limb Lead Gain to H1/2), 1, or 3 by pressing key below L. O Rey Change Chest Lead Gain to 11 (1/2), or 1 by pressing key below C. ON-OFF Key Change Filter setting te ON or OFF by pressing key below ON. RIN Key Sress key under REN to return display to MAIN menu (1D, AMP, WRT J WRT Koy Writer menu is displayed on LCD pancl. WARNING: Hf any of the messages shown below should appear on the LED display, contact your dealer or authorized Burdick sorviee tepresentative for service, OM CHECKSUM ERROR HI PRINTHEAD RESIST SERVICE NEEDED SEAVICE NEEDED FAM CHECK ERROR ® H. STROBE ERROR SERVICE NEEDED SERVICE NEEDED EO PRINTHEAD RESIST SERVICE NEEDED * = = Ys DW a IPD DD LB Ad DD 8 he Ay,(1 oot os ook to Nt Ato ht ttt rd ef Af Pi PA i fy NOTE: Features printed in Bold Type on this Page are available only o units commencing with Serial No 32001, SPD FRMT OPT 50MM 3-CH WRT ™ | UG Fig. 3-10. Wriler (WRT) Menu Display SPD Ke; Seloet zsmm/sec., or SUmm/sec. y FRMT Key Selec 1-channel or 3-channel. orr Press OPF key to proceed to Option [OPT) menn. Key P RTS Key Press RIN key to return display to MAIN menu. RHYM LEAD LGTH YES 19 RTN OPT 5.08 UUU U Fig, 3-104, Option (OPT) Menu DisplayNOTE: Features on this page are available only on units commencing with Seriai Ne. 32004, RHYM Key Sclect YES or NO for Rhythm Strip reconiing, Be LEAD Rey Select 10 or § toad for appropriate patient cable. gj LGTH Key Select 6.0 sec. or 2.5 ser. for Preferred length of Rhythm Strlp recording, RIN Key Press RIN Key to return to Writer menu. : Actual Patient Cable used must sortespond with that |g selected by the LEAD KEY designation on the EGG recording. L-YOLT PER CENTIMETER OUTPUT: £1 Volt output ts available at the 8-pin D-type conuecter tocated on the tee rieng Unit. The output is approximately 1 Volt per millivelt inoar go tig Patient connector. The ECG signal available at the 1 Volt outper jeck will be whatever lead has been selected at the keyboard. Thie active in cither auto of manual apprrozimately SOHz regardless of the filter position selected. The I Volt output utilizes the 9-pin connector J1, with Pin 1 signal, Pin 7 Ground. This output may be used for camera gating purposes or comancren with a ncor directly. A connecting cable, Burdick Part Number OOFice, with a matching 9-pin connector on one end Is available az oe optional aay eels ee connector 16 fumished on the other end; tho user may attach Delog cage’ ComReCtoY compatible with whatever accessory equipment ie being used, A.1V to imV input cable, Part Number 007174, with a 15-pin connector on one exd which mates wit! ‘h the patient cable coanector of the EK1O, is also avallable as an option. ‘Specification: Gain + 10% Frequency Response No less than 30Hz Aveascory Cables: oo7174 Enput cable, 1V to my, Do7i7s ‘Output cable, 1V, Vi PUY WP YP evn DPPRPWNVWNWNARhPePeeaw deaLP Poot dontontont ont Son tent rt Yt Yt ttt tart nt hhh nA rt ent RECORDING A 12-LEAD ECG (Automatic More) Tlis sequence ig used tw record a 1 Plead ECG, uperating the EKLO in ihe AUTO (uiematic) Mode, Conitol Key Display and Effect Sequence ON Key Power is on. MAIN menu is displayed (1D, AMP, WRT) ID Key Patient Ident ation (TD) nacrius ts displayed. Enter up to 12 characters, 10 #: mrs 1D See oe votes ENTRY Ls ag ia) SS e Dig. 3-11, Patient ddentification (IN) Menu < ‘he soft key below this symbot moves the display cursor one spare to Ioft, s ‘The soft key Y below this symbol moves the display cursor one space to right, Using the above two kevs and the a main keyboard (nimbers in the fall patient 1 number, Roview for aceuracy. Ppropriate numerical keys on the top left hand corner of cach key), enter ‘You may use up to twelve (12) characrers ENTR Fatent ID number as shown now entered into memory fuprinted on the ECG, Db MAIN menu. M2. AMP,” WRI) Von display tg and will be play returns to 24AUTO Key Press AUTO key to initiate MCG recording ‘The HK10 will automatically go int the lead! sequence as selected in Format (1- Channel or 3-Channel). The ingirument will stop when the requested format has been printed, The STOP key may also be used te halt the acquisition at any time. RECORDING AN ECG IN MANUAL MODE When a manual ECG is required, the operator must review the pro-set parameters; gain, filter, writer speed and formal, just 2s in the AUTO. made, ‘The EK16 is then ready to print an ECG from any lead as selected by the uperator. Tuitiate the desired sequence by pressing the MANUAI key then the appropriate key for each lead as required, The icads and the pre-set gains will be indieated on the printout automatically. The duration of cach individual lead trace wilt depend on the elapsed time between pressing each lead key. A calibration pulse may be recorded on any trace by pressing he LV key. To terminate (he ECG record from any lead. or when the sequence 1s completed to the operator's satisfaction. simply press the STOP key. a) ECG at 25mm. /Sec. b) BOG al SOmm. /sce. Fig. 3-12, Comparative ECG Traces VN HPPA PPP HPP PPV NDP PPhPNM Me MM Het a AR A HOM Net Ho om me NOTE: The majority of ECGs are recorded at a standard paper speed of 26 mm. per seé., which produces a satisfactory and readable trace in most ¢asca. However it is sometimes difficult to measure the duration of certain types of waveforms. complexes and intervals. The novice technician will scon learn io recognize the individual leads thar require the higher paper speed to expand the wace in order to ensure better readability. Your Burdick E10 offers a higher 50 mm. per see. paper speed for just such cases so that the operator may adjust the parameters accordingly, © ARTIFACTS - CAUSE AND RECOGNITION Lnproper technique is a common cause of poor ECG records, resulting in artifacts and defects that interfere with the interpretation. The more common artifacts are caused by patient movement, muscle tremar, improperly uffixed sensors, or clectrical Interference (AC). Patient Movement Paticnt movement can cause abnormal trace deflections ranging from irregular vibration in frequency and amplitude due to muscular contraction or tremor, fo major shifts in the baseline caused by body or sensor movement. The figure below is Lypieal of Unis type of artifact, Hig, 3-13, Ariifact - Somatic Tremor and Patlent Movement To minimize this iype of artifact (t is neressary ta gain the patient's full cooperation. This may require no more than a simple explanation of why It is necessary to relax: or il may require a larger or morecomfortable bed. Tn some eas but its effects may be mmimize hands under the butlocks somatic iremor may be unavoidable by having the patient place his/her improperly Installed Sexgors An example of baseline shift caused by loose sensors is shown below. if the baseline dues not come to rest near the center of the paper “ithin half a minute of first attempting to reeord that parlicular leed, check the sensor to ensure that it 45 properly upplled. A baseline Jump occuring when the lead is switched during an R or T wave is unavoidable, The trace will return 16 normal in a few seconds. If hascline drift occurs -shifting up and down it is due to cither patient respiration or corroded sensors. Fig.3-14, Artifact - Loose Sensors Corroded Reuseable Sensors Corroded sensors ean cause a variety of artifacts, such as, large Sawtooth waves. drifting and blocking, This will not be a problem ir the seusors arc always cleaned after cach use and replaced when necessary. Substitute clectralytes and/or paste can introduce problems due te poor conductivity or film build-up on the sensor, Ita paste or cream is used, Wash the sensors aller each use and scour frequently. Electrical Interference (AC) Hleelsical interference can obliterata much of an ECG recording by producing a wide baseline, Its amplitude depends on the strength of the AC Source and the lead betng recorded. Im any one lead the amplitude is usually steady. ‘The frequency of the interference signal corresponds to the Supply line frequency (usually G0Hz). ‘The result of ‘typiedd AC Interference on the ECO is shown below. Vo DPD awe eee PPM MRNA BR ol de oo= = = = = & = = = = = = = = = Fig.3-15, Artifaet - Altemating Current To eliminate ox minimize AC effects: 1. Locate the TIS1G so that the line cord is well away from the patient and ‘the patient cable. Do not pass the line cord inder or near the patient or table. 2. The sure the IK10 is properly grounded by means of the wall outlet in which it is connected. “It is advisable to ground 4 metal patient table or metal bed frame by cennceting them te the EKLO via an auxiliary ground lead, 3. The palient cable leads should be arranged as clese together as possible and following the body contour. Avoid looping excess lead wires, rather Lwist then together to take up any cxccss lengih 4. Diathermy or X-ray equipment in adjacent offices should NOT be in operation. Oter clectrical equipment, including electrically actuated beds, ot lighting fixtures may alse generate interference even though not in uée. If this proves to be a problem, disconnect such equipment. 5, Electrical wiring in walls and ceilings is also a possible source of AC intorference, ¥requently, simply moving the patient table to a different lovatiun in the room will alleviate the problein. Oecasinnally, in severe cases, it may be necessary to usc a grounded screen located between the AC sourne and the patient. 8. Ghock the pre-set parameters on the LCD display uf your EK10 the ON filter setting may effectively limit [he AC interference. _ [1 extreme casas where the problem eannot readily be sulyed by the user, contant your Hurdtek Field Representative, He has equipmentwhich will aid in pin- pointing the source of interference and ean offer guidance to climinate or reduce the problem Loose or Broken Leads A broken wire in the patient lead may cause rapid and exratie trace deflections. “Sumilar large amplitude excursions ean be caused by a poor connection at ihe sensors, Operation with AC Filter Selection of an unfiltered or a filtered frequency response is determined by the pre-set parameters employed. “these ean be verificd anytime by calling up the LCD display (refer to Section 2. Input Instructions) In nermal operation with no filter, the FEKIO exeveds AABt recommended standards for diagnostic accuracy and definition, There can be a small nominal loss of amplitude in the QRS complex when the filter is employed. 4 zeference calibration mark should be inchided ia covery BCG reeurding, filtered or unfiltered. In the AUTO mode, the FKIO automateally records a'calihration mark at the start of each Iead irace. UnMtered, the ealthration pulse has a relatively squared corner and an almost instantaneous rise and fall to the trace exeursion. With filtered response, the corners are not square and there is more slope to the excursion mise and fall. The simulated traces below show typical examples of recordings made both with and without the flier, Pacemaker Spikes With the filter ON, the high frequency spikes produced by a cardiac pacemaker cannot be recorded. In most cases, pacemaker spikes may be recorded wilh the filler OFF. YVreP RP YH WH HHP PPP hPa eaeCalibration wit Filter On, Note the small overshools in the leading edge el Same Tracing with Fater On Mo NN MMM ti MN Mf mK i A Mo QAS Complexes (No Filtering) Same ECG with Fitter On, Nole the minimal loss of Rt wave Amplitude §Mg.3- 16. Typical ‘lraces without and with FilteringSECTION 4 MAINTENANCE " There are no required operator maintenance procediures for the EK10 for an adjustment becomil service representative, or adjustment In the event of a malfimction, or the need ing evident, conlacl your Burdick dealer or After extended usage, two years or more, the bultery pack - if your unit Bas this opuonal feature - may need to be replaced If It will Ao longer bold a full charge. Access to the battery is gained by removing the large square snap-in cover panel on the back of the unit, Fig. L.Battery Compartment with Cover Removed Carelully disconnecl the battery terminal connector using a plier to Grip the connector - don't pull On the wires - and lift out the ballery pack. The replaccment battery comes eomplete with leads ant Connector, The connector has grooves on one side only to ensure thar it 4g correctly polarized when connected, Make sure the leads are jucked neally around the battery and that the cover does not trap the leads before it is snapped shut a oad ode ad a gl ed WW cad add A dad dW Ad ald tae iaEEE Ta SECTION & Dimensions: Weight: Power Requirements: Environmental Parameters: Operating temperature Storage tcuperature Relative humidity Acquisition parameters: Lead selection Frequency response Input impedance Tlectrode offset tolerance A/D conversion Printout: Paper type Chart speeds Prinivut format Printout de g Paper dimension Lead marking Safety; Leakage current Defibrillator protection SPECIFICATIONS; 11" x 19" x 9-3/16" 9 Ib, inchiding optional battery. 120/240VAC, 50/60Hz standard. 12.5Vde nickel-cadmium baltery (optionad 10degC to 40deg.0 “BAMCE.C to 70deg, 15% to 90% non-condensing AAMT standard for Diagnosiic Electrovardia- graphic devices (unfillersd) O4- 30Hz, -34B (Gillered) greater (han SOMohm £ 306mv 8 bits thermal 25 or GOmun/sec, 1 294 1- channel sate 6% manned 48mm. thermal dot array 50mm, wide, 45mm. grid, x 150 fl. roll leads are imprinted on each lead ace above waveform Patient, less than 10 microamps Chassis, less than 100 microamps to 5,000¥, 400 Joules 32: Fev: $1.89 WARRANTY AND SERVICE INFORMATION WARRANTY kre, NO WARRANTY OTHER THAN THE ONE SET FORTH HEREIN. UGH LEWTTED Tiaras To Sify GEU,OF ALL OTHER WARRANTIES EXPRESS ON IMPLIED IneLULIG Bay RES PARTICULAR Bo ceeeeS, OR IMPLIED WARRANTY’ OF MERCHANTAEILIFY. OW tiewees NOE THE PRoDLorS, © oes ANO SUCHE CONSHITUTES THE ONLY WARRANTY MADE Witt AearESE oe THE PRODUCTS, Your Burdick Limited Warranty {hry oquipment” component which falls ty operate ia normal use durin 14 the parind of one year from we parchaze ete wil by exchanged wiliac charge. Honevet, shage (Fe obtomer aecumsa all reeponcbiky fer ship Li goepasorias supplied with now equlosiant aro wawanted for ninety (90) days, and wil Sz pumlek option’ Aonessates sald sopaisiay inn warastca 401» pares of Aisoy ofiginal aurchaaso, ll be repaired oF rinkzced (00) days loom Ihe date af This warranty give you spect legal rights. You enay have otser Sotnarecare ancl 2pOY f0 eguipment damaged by shbviny, saccent.sesuoo, thet, negacs Me os fect ok Go Ritistaton eased by use afchemleals not eneosrtaced cving normal operates ecupand kakese aoc oo sees Seater *Peilles not conforming te Burdick sapraved spactications sed aandade to cscan ee ae Hts which vary trom eigce to scare Tiiis medications. Froth ot cae giles are reuponsols for rintal ng me Gurtck equipmar Iney eal They are ayipod to Grote on ste fled secs whenever Ts vaca. true cewurs, cane tha Burdick dene Toe ace ae Coreen Mas unaty purchazed to atiange forearvise, The eng'neaing and service species Ge Rene Sapertion ate aloays racy o seein exstomors and dualecss repair Monet ean be Siplied yaaa must Ihe ranulacturers warranty card should be ralumcd oy the eel ‘taller, inthe evore a waranty card was aot ‘clamed, the following irfermato> mus te sonic Ye bleciek bate ‘warranty cuppart dan be provides: 1) GQuetomer nama aad! ade 2) Bauiprent model, arial uaniver and data 04 tnstevion 3) Inotatet on dace of naw pal, meer aosass0%y oF na Name of daca tram whom cauinireet wes purchasen, 2} Complete deception of und’s conditon. size | samiploms are ‘orstant or intormlent, 8} Complete Isic i saps taken by stempt ta «© nae srablons, Service. Bom cache TE 20 and serviced lnoush 3 natlannl newer of metical equipmian debuts weo heve Peer carat seletiog for thor proven ubily 1o acrva tye radical amiacaie, Al ol thooa Aires eae eras Agents pariojpate in ton program and cus: demonctave a high calber af weclvical expemea, irrneee eats and ascensorae for Burtt equptont are availble fram your auciiied Geen eee oe Informaen or spacka! assisisnee, cortect the Busdick Gaporaiar af (BDO}3SS7790 or fenej soe ors Reivening Equipment for Service: equipmens is being rewmed 10 8 sorvice carver fot raps, prt author arn a TSE 8 data Ist of eyrolons, and oupkendle, a sempla Face rebcvdie, Please include your Sa Reacts Sutber. This Wit saaua you zr provided wit the fares and most alelont conte: onset Seas EROS ste Shlonad ton serdoe cease, alae enstto thoy sre sseqadtely protected Sos Geckeec yet Static bg, sro oe cane dpe ed i fhe Burdick eptow cr a Retloul Sowvice Geer tr rapes tne und and sccossoroe Senter oe ly pated i = strong sirion, rotor tne onw sowciiaaly docigned fot thet Sak Saeeg Seca ehietabl For sour Dutcics doa, Nemerar, the customer is responsible or aad socetamat oe Fencing cath chore of tia un. Ereue Isc the séchage fe cary mekod lor protein arses hensing. Eccenple: “DELICATE LIFCTRONIC EQUIPMENT - HAND! F WITH CARE = “Eu pment is consicered to bo the mab alex! ‘aesembb. ai by csintion does not ince ary necessaries YpPpDPVPWNWwN ww HWW HUY VY WoW A a ie woeTHIS PAGE INTENTIONALLY LEFT BLANK PAA HAHMP MH MAWN Hwa oe oe oeAPPENDIX: List of Mustrations Fig 1-1 £10 Gener view, showing control panel. unique malded cast and hand hold, plus cord, Fig, 1-2 Accessorics fer EK10. Fig. 2-1 Back panel, showing cord receptacle and battery ON-OFF switch, Fig. 22 Control panel, close up of soft touch panel and LOD display, Fig. 2-3 LOD Displays: a) MAIN menu b) ID menu ©) AMP ier @) WRT menu Fig. 2-4 Loading ROG Paper a) Cover and feed roll removed D) Inserting new roll, free end to right. Mig. 3-2 Lead Arrangement and Coding use existing full paye line art, Fig. 83 Reuseable sensor Fig. 3-4 Disposable sensor, Signa Sensor Fig. 3-6 Limb sensor application series of six (6) photos as uscd on pg.12 of EK-8 manual Fig. 3-6 Disposable sensor applied to limb. Fig. 3-7 Charging batteries. Fig. 2-8 LOD Display: MAIN Menu Mig. 3-8 LED Display: AMP Menu Fig. 3-10 LOD Dis, play: WRT Menu Fig. 5-10 LCD Display: OPT Menu AT TB ra ie Big AN I Aa Bk 0 ik A aPEP Note te tthe Mit mM BBM A i me Fig Tig Fig Fig. Fig. List of Mustrations (Continued) . 3-11 LOD Display: 1D Menu . 3-12 Comparative BCG ‘traces: i) 25mm. /see b) Summ. /see 3-13 Artifact - Somatic (reruor and pationl movement 3-14 Arlifact Loose sensors 3-15 Artifact - Altermating current 3-16 Typleal traces without and with filtering a] Calibration pulse without filter, b) Calibration with filter ON; note the small overshoots in the leadmg edge. 4) Moderate AC without filter, @) Same trace with filter ON €) Somatic tremor without filter. f) Same trace with filter ON. &) QRS complexes without filter. b) Same ECG with filter ON, note the minimal loss of R-wave amplttude. 4-1 Battery compariment wilh cover removed... 36BURDICK UPTI} AE SIMPLIFYING YOUR SERVICE NEEDS: Service Contract Options SIEMENS BURDICK, INC. 15 Plumb Street, Milton, WI53563 Publication No. 086055 Roviseds suy 1962 YPuiilbWtWWW WwW OMAR RRM BRR BRR ePaeKnannaeaennWOW Wh AM tt toe ett tte tet Me BoB Mh BM Mh WM am BARDICK offers FIVE different service optioy to meet your Specific needs Ub y AE is your best protection against downtime '™ You have accassto tha fecuities, the knowledge redquire. Suit, offeclant condce andor parts Feplacomont hols keep your Siemens Burdick instrumantin tratcnee operating comeition, 1 Factory-approved assistance ant play mafatenance is cone only by Stotens Burscetrsinad iechridone and te people yes UPTI},E is your best protection against high-priced Tepairs Gucranices your insrumert il receive th. ‘Moet skillog stontion a the lowest Aoecible cost I One small annual fa protects your Stemans Bunsick equpmen | Agnes service andor pasts cost for a ul ves Considor tho high cost of a ona tice Repl. your UPTIME covered | doling areca attention justenco daring fe year, youre akeariy | dolars ahead, 1s your best protection . against equipment frustration ‘ppropriate pal tsciies or pants avaitbiles E A laciory trained servieg technician will Opttonail ioanors ara availabia in moet be working on your iasthument tanctioning. 'nslances to keep your faciltyIRN Ubt Siemens Burdick offers these serviee options 16 better mevt your specific needs WHAT YOU a0 what YOu Recerwe WHAT YOU cain CR1G00-84-7770 MOnsig, nexniny survicetyioca! im Enlenec onect lay ‘8 288-58 tent cians H Minieal downiione Sask tor Techie) irstrnwntinsaectodaind repaid” i hnerseece whatay Service Suspart” Hl Peravmunios mapectione ane Eesy beset ane socumertetion Saeime mining PERSONAL TYPE: SericeSAM toSP.m. Rl Reduced serce Goat ONSITE Moncny th Fray SERVICE” TYPEZ Sursion 2? hours doy, Taays a wook Cy 800-333-7770 Instiunart inspected and rape BF Most economical way of 6UE-B58 4672 by factory-trained corvice tecimicians repairing an instrument BAS ton Tech Compre perfomance ispecton mE Minka Gowen, ‘Se:vine Suppor and the: the ntiesmaat mission ‘Guaienlond promt cetum ax quire about shipping porfornres ertoria tee wa S-day eum sipping 1 Eney budgaiing DIRECT-TO- Gi Free retin: snippieg WW Fixduoed sorvice cast ‘SIEMENS: TYPE 3: Matlin direct to Siomarns senviee SH flat ce SEI 4: Maltin deel to Siemens Nee % Burdick and receive fro 38 of lazenor ssugries? whl your unit sino Pea Call 800-933-7770. w Noxt day peri sicment-~ m Protecte against high cn 08-28 873 BW Sipped sau taprose, UP olreplacemerd pars Nfokior ‘Teciwiest 14 well scuarding tothe uroeney WE Tacimieal roth auppen PARTS Sonice Supaon’ Phyncrnesd ame e Olfers 68st economy for your EXCHANGE 21 Epztbetions wits 100 mins of ald eervicoenginae blomodieal aupport aroabe SERVICE Hektor notinotidea Canumatios and sicily procues NOTE: To qaatly or axeay marie, one Tetinel: ced og. cables ameccorvg, dupetabins. sy, apes bates rs musiba meatiod a Stemene Ourdch By 1:00PM oead Saneee ine ‘Svea egies tek ut yom Siem Bucks BOS ‘citbeing doen er rslownad gene. Prosace BpBrs impropen coreg Sign op row oe U2 Yes, | amintorestecin the Siomens Burdick UPTIME service pregrem C1 Pease have 2 senioe repens tative ca contract mor! applicable ‘9 our nsoes C1 Pisaro rush me a compte! contact tom, showing casts, ee our instmument= NOTE: Madel, Serial Number and date purchased must be provicied to obtain 2 comipieted coniraet form ldo costs for the UPTIME Produat gm ee TEAR MecsiWa sere Na ee HERE Bate purchased ayrohaseattrom pa BA Nome Tie a ame af aailiy, uractice or insti tion —_ ae Yue nwa we een eee eee ee eo ol a ié zs = = E ‘ ‘ = = i = . 1 z 4 = = = = = = 2 = 2 2 = Siemens Burdick Technical Service Seminars train your Personnel aT |_ BUSINESS REPLY Man Siemen: Burdiek, inc. Att: Service Department 15 Plumb Stroct Milton, W! 53563-9988 Aor fitilitiee with their om Biomedieal Service Staffs, Siemens. Burdick offers highly informati| balning clascos that quality your people ta boeo| eRperts at inspecting and effectivaly anaintainig| Siemens Burdick instruments, ‘Thesa lasses ar| scheduled at convenient tirnes throughout the ¥ pad are concuctod at Stomens Burd headquarters in Milton, Wiseonae Since highly personalized teaching methods are pints the size of these clasvon ie lvoe Those pilsrested iu attending should make cea nge- ments woll in advance. ng year and tion om these Technical Service ay be obtained by contacting: javice Iwaining, Sicmens Burdick, Ine Onan Street, AEtton, WL BSséHe call (800) 333-7770 or (G08) Seg aera ileOPERATING INSTRUCTIONS Update Registration Form 1 you wau'd like ts receive any updaces which may beserne anita fr this mand, please comps the registration form below end rotum itto Burdick EQUIPMENT MODE! SERIAL NO NAME TITLE, FIRMIORGANIZATION i _—____PHONE STATE ZiP_ We aporociats your comménts ara suggestions as voll as ony advitions of deletions ‘hig publi eful too’. Any erors shoul? be ied aloo vill the peg “hey ovcur. #1 iS ans suggestions become the proper us In Serve you beer Document Part No.___ COMMENTS: BBurdick, Inc. ispiumh street minon, wi 63663 USA (808) 868-6000 ON i aah ah aaa tL1h ME et hh dh de BUSINESS REPLY MAIL FIRST PERMIT. 2 Ton. vA PORTAGE WILL BE PAID BY ASDAESSEE Burdick, ‘Inc. Aton: SENVICE OCPAATMENT 45 Plumb Milton, Wi sin U.S.A. 2563 9008 NO PESTAGE NECESSAAY FWALED THC UNITED STATESService: (G00) 339-7770 - Orders: (800) 777-177 BBurdick, INC. 15 Plumb Sireat Nikon, wei 53883 USA PiaeunrUBA + >Decse ey “09 eA ro sneered ' } (6c 868-6000 § s 5 = £ = = F- = = = = = = Moab dbo ib ab g§